Academy of Chiropractic
Personal Injury
& Primary Spine Care Program

Quickie Consult 34 CI

From the Desk of Dr. Mark Studin

Academy of Chiropractic

Preamble: Many of the issues I bring to you are very small, yet each issue is just that, an issue. If you take care of the small issues, then you will be able to build and more importantly, focus on the bigger issues...a larger practice and more family time.

"Evidence Based Care vs. Diagnosis Based Care"

I have shared with all of you that part of my responsibility is to keep you ahead of the curve in what is coming over time and this is one area that you must fully comprehend in order to thrive in the marketplace in years to come. Without an understanding and "game plan," you will be on the outside and fighting windmills like Don Quixote instead of realizing that you must change and start right now. The really, really good part is this has nothing to do with how you treat your patients.The first step is to understand the difference between evidence based and diagnosis based care.

Evidence-based health careis the conscientious use of current best evidence in making decisions about the care of individual patientsorthe delivery of health services. Current best evidence is up-to-date information from relevant, valid research about the effects of different forms of health care, the potential for harm from exposure to particular agents, the accuracy of diagnostic tests, and the predictivepowerof prognostic factors.

Evidence-based clinical practiceis an approach to decision-making in which the clinician uses the best evidence available, in consultation with the patient, to decide upon the option which suits that patient best.

Evidence-based medicineis the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence-based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research.

Simply put, this is the researched evidence in peer reviewed literature that certifies your treatment plan and care as valid, current, accepted practice and usual and customary in the chiropractic and/or medical communities.

Diagnosis Based Care

You evaluate your patient and clinically correlate a history to both clinical and diagnostic findings. Based upon the conclusions, you create an accurate diagnosis and treatment plan to the best of your ability.

Understanding the difference between the 2 is going to be paramount to the success of healthcare practices in the "not too distant" future. Over the next few weeks, we will be providing many examples and samples of language with solutions to automate the entire process.

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